| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,594 |
8,241 |
$892K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,014 |
7,128 |
$524K |
| 99215 |
Prolong outpt/office vis |
809 |
738 |
$111K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
363 |
341 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
394 |
374 |
$38K |
| 99072 |
|
4,468 |
4,040 |
$32K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
268 |
248 |
$31K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
2,288 |
1,993 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
988 |
921 |
$20K |
| 90688 |
|
1,086 |
1,025 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
982 |
760 |
$19K |
| 96127 |
|
2,541 |
2,349 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
68 |
64 |
$10K |
| 91322 |
|
71 |
61 |
$7K |
| 81002 |
|
2,589 |
2,350 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$4K |
| 99406 |
|
255 |
227 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
24 |
$2K |
| 99173 |
|
1,108 |
1,010 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51 |
46 |
$2K |
| 0011A |
|
65 |
59 |
$2K |
| 90651 |
|
39 |
37 |
$2K |
| 0012A |
|
61 |
57 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
117 |
104 |
$2K |
| 0124A |
|
52 |
50 |
$2K |
| 90480 |
|
44 |
34 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
746 |
664 |
$1K |
| 96160 |
|
813 |
732 |
$1K |
| 90715 |
|
56 |
48 |
$1K |
| 90658 |
|
47 |
47 |
$995.50 |
| 0064A |
|
40 |
32 |
$840.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
459 |
353 |
$676.87 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
25 |
$559.21 |
| 0004A |
|
18 |
16 |
$538.70 |
| 0054A |
|
17 |
16 |
$520.00 |
| 81025 |
|
73 |
61 |
$348.16 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
63 |
45 |
$19.06 |
| 3080F |
|
14 |
12 |
$0.00 |
| 1055F |
|
154 |
133 |
$0.00 |
| 3008F |
|
96 |
80 |
$0.00 |
| 2001F |
|
13 |
13 |
$0.00 |
| 3079F |
|
19 |
15 |
$0.00 |
| 1034F |
|
89 |
64 |
$0.00 |
| 4037F |
|
187 |
156 |
$0.00 |
| 1220F |
|
80 |
66 |
$0.00 |
| 1125F |
|
420 |
329 |
$0.00 |
| 2010F |
|
172 |
145 |
$0.00 |
| 3725F |
|
80 |
66 |
$0.00 |
| 4274F |
|
77 |
57 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
27 |
17 |
$0.00 |
| 1159F |
|
12 |
12 |
$0.00 |
| 3090F |
|
40 |
33 |
$0.00 |